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Organization
WESTERN KENTUCKY UNIVERSITY SPEECH CLINIC
Active
Organization
WESTERN KENTUCKY UNIVERSITY SPEECH CLINIC
Active
Parent organization
WESTERN KENTUCKY UNIVERSITY
Other names
WKU Communication Disorders Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN KENTUCKY UNIVERSITY
Authorized official
DR. MARY LLOYD MOORE ED.D., CCC-SLP (DIRECTOR)
(270) 745-2183
Entity
Organization
Contact information
Practice address
104 ALUMNI AVE, BOWLING GREEN, KY 42101-3404
(270) 745-4232
(270) 745-4233
Mailing address
104 ALUMNI AVE, BOWLING GREEN, KY 42101-3404
(270) 745-4232
(270) 745-4233
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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